Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Rcnstj mdfc lefort iii without i CPT 21154 | $8,139.99 | $6,420.00 | $1,067.34 – $11,478.46 | 19 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | $8,139.99 | $5,960.00 | $990.88 – $12,274.63 | 19 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | $8,139.99 | $9,280.00 | $1,525.93 – $16,576.68 | 19 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | $8,139.99 | $8,550.00 | $1,409.42 – $15,993.79 | 19 |
| Rdctj forehead cntrg only CPT 21137 | $4,558.89 | $2,460.00 | $436.86 – $7,598.14 | 20 |
| Rdctj forehead cntrg&prostc CPT 21138 | $8,139.99 | $3,010.00 | $527.18 – $13,566.64 | 20 |
| Rdctj forehead cntrg&setback CPT 21139 | $8,139.99 | $3,650.00 | $627.71 – $13,566.64 | 20 |
| Realignment of knee CPT 27457 | $9,977.57 | $3,190.00 | $561.26 – $5,746.62 | 19 |
| Realignment of knee CPT 27455 | $9,977.57 | $3,090.00 | $569.35 – $5,717.07 | 19 |
| Realignment of tendons CPT 26437 | $4,499.12 | $3,495.00 | $414.29 – $7,498.53 | 22 |
| Realignment of thigh bone CPT 27454 | $9,977.57 | $4,310.00 | $753.38 – $7,900.80 | 19 |
| Rebuild eardrum structures CPT 69632 | $8,139.99 | $3,430.00 | $618.13 – $13,566.64 | 20 |
| Rebuild eardrum structures CPT 69633 | $8,139.99 | $3,330.00 | $601.51 – $13,566.64 | 20 |
| Rebuild eardrum structures CPT 69636 | $8,139.99 | $4,390.00 | $822.18 – $13,566.64 | 20 |
| Rebuild outer ear canal CPT 69310 | $8,139.99 | $3,450.00 | $661.37 – $13,566.64 | 20 |
| Rebuild outer ear canal CPT 69320 | $8,139.99 | $4,860.00 | $909.72 – $13,566.64 | 20 |
| Rechanneling of artery CPT 35361 | $2,141.39 | $5,240.00 | $850.39 – $9,431.95 | 19 |
| Rechanneling of artery CPT 35306 | $627.31 | $1,540.00 | $190.11 – $2,753.97 | 18 |
| Rechanneling of artery CPT 35311 | $2,213.55 | $5,340.00 | $932.30 – $9,609.36 | 19 |
| Rechanneling of artery CPT 35363 | $2,284.65 | $5,610.00 | $893.50 – $10,920.86 | 19 |
| Rechanneling of artery 35305 CPT 35305 | $1,697.92 | $4,240.00 | $702.05 – $7,622.02 | 18 |
| Rechanneling of artery 35341 CPT 35341 | $1,912.34 | $4,760.00 | $793.21 – $8,483.69 | 19 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $1,782.42 | $4,410.00 | $736.98 – $7,972.61 | 18 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $1,965.38 | $5,050.00 | $810.47 – $8,986.35 | 19 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $7,651.38 | $3,380.00 | $564.66 – $6,076.08 | 19 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $1,714.50 | $4,280.00 | $710.14 – $7,681.15 | 18 |
| Recipient nephrectomy CPT 50340 | $1,392.38 | $3,210.00 | $598.10 – $5,774.07 | 19 |
| Recon, cta for surg plan HCPCS G0288 | $63.71 | $1,653.00 | $31.40 – $1,433.00 | 15 |
| Reconst lwr jaw w/fixation CPT 21196 | $8,139.99 | $4,790.00 | $826.87 – $13,566.64 | 20 |
| Reconst lwr jaw w/graft CPT 21194 | $8,139.99 | $4,840.00 | $816.00 – $13,566.64 | 20 |
| Reconst lwr jaw without fixation CPT 21195 | $8,139.99 | $4,660.00 | $776.39 – $13,566.64 | 20 |
| Reconst lwr jaw without graft CPT 21193 | $8,139.99 | $4,190.00 | $706.95 – $13,566.64 | 20 |
| Reconst major injured chest 32820 CPT 32820 | $1,967.70 | $4,530.00 | $837.94 – $8,597.74 | 19 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $9,977.57 | $3,510.00 | $631.12 – $6,272.50 | 19 |
| Reconstr lwr jaw segment CPT 21198 | $8,139.99 | $3,750.00 | $579.57 – $13,566.64 | 20 |
| Reconstr lwr jaw w/advance CPT 21199 | $8,139.99 | $3,540.00 | $577.87 – $13,566.64 | 20 |
| Reconstruct ankle joint CPT 27702 | $37,310.30 | $3,170.00 | $564.45 – $62,183.84 | 20 |
| Reconstruct bronchus CPT 31775 | $2,000.38 | $4,800.00 | $843.27 – $7,801.55 | 19 |
| Reconstruct cleft foot CPT 28360 | $9,977.57 | $3,610.00 | $653.70 – $16,629.28 | 20 |
| Reconstruct cleft palate CPT 42200 | $8,139.99 | $3,090.00 | $537.40 – $13,566.64 | 20 |
| Reconstruct cleft palate CPT 42205 | $4,558.89 | $3,240.00 | $553.59 – $7,598.14 | 20 |
| Reconstruct cleft palate CPT 42210 | $8,139.99 | $3,600.00 | $618.77 – $13,566.64 | 20 |
| Reconstruct cleft palate CPT 42215 | $8,139.99 | $2,340.00 | $413.86 – $13,566.64 | 20 |
| Reconstruct cleft palate CPT 42220 | $8,139.99 | $1,930.00 | $344.00 – $13,566.64 | 20 |
| Reconstruct cleft palate CPT 42225 | $8,139.99 | $3,180.00 | $618.13 – $13,566.64 | 20 |
| Reconstruct cranial bone CPT 21182 | $8,139.99 | $6,960.00 | $1,179.17 – $12,050.76 | 19 |
| Reconstruct cranial bone CPT 21183 | $8,139.99 | $7,640.00 | $1,279.70 – $13,581.93 | 19 |
| Reconstruct cranial bone CPT 21184 | $8,139.99 | $8,230.00 | $1,373.85 – $16,625.24 | 19 |
| Reconstruct elbow joint CPT 24360 | $9,977.57 | $2,980.00 | $534.20 – $16,629.28 | 20 |
| Reconstruct elbow joint CPT 24361 | $24,109.66 | $3,340.00 | $593.42 – $40,182.77 | 20 |
| Reconstruct elbow joint CPT 24362 | $17,653.66 | $3,530.00 | $622.39 – $29,422.77 | 20 |
| Reconstruct elbow lat ligmnt CPT 24344 | $9,977.57 | $3,600.00 | $657.11 – $16,629.28 | 20 |
| Reconstruct elbow med ligmnt CPT 24346 | $17,653.66 | $3,620.00 | $657.11 – $29,422.77 | 20 |
| Reconstruct extra finger CPT 26587 | $4,499.12 | $3,450.00 | $619.40 – $7,498.53 | 22 |
| Reconstruct finger joint CPT 26545 | $4,499.12 | $2,240.00 | $451.13 – $7,498.53 | 20 |
| Reconstruct finger joint CPT 26548 | $4,499.12 | $2,410.00 | $488.41 – $7,498.53 | 20 |
| Reconstruct head of radius CPT 24365 | $17,653.66 | $2,110.00 | $386.17 – $29,422.77 | 20 |
| Reconstruct head of radius CPT 24366 | $17,653.66 | $2,240.00 | $405.13 – $29,422.77 | 20 |
| Reconstruction ankle joint CPT 27703 | $24,109.66 | $3,660.00 | $649.01 – $6,741.35 | 19 |
| Reconstruction knee CPT 27427 | $9,977.57 | $2,350.00 | $422.59 – $16,629.28 | 20 |
| Reconstruction knee CPT 27428 | $17,653.66 | $3,680.00 | $663.50 – $29,422.77 | 20 |
| Reconstruction knee CPT 27429 | $17,653.66 | $4,140.00 | $747.42 – $29,422.77 | 20 |
| Reconstruction of anus CPT 46753 | $3,816.64 | $2,070.00 | $391.92 – $6,361.06 | 20 |
| Reconstruction of bile ducts 47800 CPT 47800 | $2,201.98 | $5,350.00 | $933.37 – $9,647.38 | 19 |
| Reconstruction of eyelid CPT 67971 | $3,269.14 | $2,270.00 | $387.45 – $5,448.56 | 20 |
| Reconstruction of eyelid CPT 67973 | $3,269.14 | $2,920.00 | $495.44 – $5,448.56 | 20 |
| Reconstruction of eyelid CPT 67974 | $5,405.82 | $2,910.00 | $494.37 – $9,009.70 | 20 |
| Reconstruction of eyelid CPT 67975 | $3,269.14 | $2,150.00 | $368.92 – $5,448.56 | 22 |
| Reconstruction of hip socket CPT 27120 | $17,653.66 | $4,300.00 | $754.23 – $7,875.45 | 19 |
| Reconstruction of hip socket CPT 27122 | $9,977.57 | $3,660.00 | $644.54 – $6,694.87 | 19 |
| Reconstruction of jaw CPT 21245 | $8,139.99 | $3,120.00 | $552.74 – $13,566.64 | 19 |
| Reconstruction of jaw CPT 21246 | $8,139.99 | $2,900.00 | $489.69 – $13,566.64 | 19 |
| Reconstruction of jaw CPT 21248 | $8,139.99 | $9,292.00 | $462.64 – $13,566.64 | 21 |
| Reconstruction of jaw CPT 21249 | $8,139.99 | $9,292.00 | $644.33 – $13,566.64 | 22 |
| Reconstruction of jaw joint CPT 21240 | $8,139.99 | $3,660.00 | $601.73 – $17,163.83 | 20 |
| Reconstruction of jaw joint CPT 21242 | $8,139.99 | $3,400.00 | $588.73 – $13,566.64 | 20 |
| Reconstruction of jaw joint CPT 21243 | $37,310.30 | $5,580.00 | $928.68 – $62,183.84 | 20 |
| Reconstruction of lower jaw CPT 21244 | $8,139.99 | $3,390.00 | $572.33 – $13,566.64 | 20 |
| Reconstruction of midface CPT 21188 | $8,139.99 | $5,450.00 | $911.21 – $9,940.98 | 19 |
| Reconstruction of mouth CPT 40840 | $8,139.99 | $2,054.00 | $359.12 – $13,566.64 | 20 |
| Reconstruction of mouth CPT 40842 | $8,139.99 | $2,361.00 | $347.19 – $13,566.64 | 22 |
| Reconstruction of mouth CPT 40843 | $8,139.99 | $2,708.00 | $496.50 – $13,566.64 | 20 |
| Reconstruction of mouth CPT 40844 | $8,139.99 | $3,625.00 | $675.85 – $13,566.64 | 20 |
| Reconstruction of mouth CPT 40845 | $8,139.99 | $4,015.00 | $669.03 – $13,566.64 | 20 |
| Reconstruction of nail bed CPT 11762 | $2,837.09 | $1,108.00 | $111.61 – $4,728.48 | 22 |
| Reconstruction of nose CPT 30410 | $8,139.99 | $4,005.00 | $863.72 – $13,566.64 | 20 |
| Reconstruction of nose CPT 30420 | $8,139.99 | $4,423.00 | $836.88 – $13,566.64 | 20 |
| Reconstruction of orbit CPT 21256 | $8,139.99 | $4,080.00 | $710.99 – $13,566.64 | 20 |
| Reconstruction of throat CPT 42950 | $8,139.99 | $2,590.00 | $467.54 – $13,566.64 | 20 |
| Reconstruction of urethra CPT 53410 | $7,372.68 | $3,190.00 | $560.83 – $12,664.86 | 20 |
| Reconstruction of urethra CPT 53415 | $1,466.15 | $3,700.00 | $644.96 – $6,895.50 | 19 |
| Reconstruction of urethra CPT 53430 | $7,372.68 | $3,160.00 | $556.78 – $12,287.80 | 20 |
| Reconstruction of urethra CPT 54308 | $7,372.68 | $2,330.00 | $413.86 – $12,287.80 | 20 |
| Reconstruction of urethra CPT 54312 | $4,846.99 | $2,670.00 | $472.43 – $8,078.31 | 20 |
| Reconstruction of urethra CPT 54316 | $13,016.74 | $3,260.00 | $569.35 – $21,694.57 | 20 |
| Reconstruction of urethra CPT 54318 | $4,846.99 | $2,320.00 | $412.79 – $8,078.31 | 20 |
| Reconstruction of urethra CPT 54322 | $4,846.99 | $2,550.00 | $449.43 – $8,078.31 | 20 |
| Reconstruction of urethra CPT 54324 | $4,846.99 | $3,160.00 | $554.65 – $8,078.31 | 20 |
| Reconstruction of urethra CPT 54326 | $4,846.99 | $3,090.00 | $540.59 – $8,078.31 | 20 |
| Reconstruction tongue fold CPT 41520 | $4,558.89 | $790.00 | $146.97 – $7,598.14 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.